The Incidence Of Severe Preeclampsia In Pregnant Women And Maternity Cases Of Cases Of Patients In The Regional General Hospital Dr. Pirngadi Medan City In 2012
Understanding the Struggle of Pregnant Women with Severe Preeclampsia in Medan City
Preeclampsia is a life-threatening condition that affects pregnant women worldwide. Characterized by high blood pressure, protein in urine, and swelling, preeclampsia can develop into severe preeclampsia if not treated promptly and properly. This condition poses a significant threat to both the mother and the fetus, as it can lead to complications and even death. In the Regional General Hospital (RSUD) Dr. Pirngadi City of Medan, the incidence of severe preeclampsia has been on the rise. In 2010, 43 cases from 531 pregnancies (8.1%) were recorded, while in 2011, the figure jumped to 73 cases from 644 pregnancies (11.3%).
To gain a deeper understanding of the struggles faced by pregnant women with severe preeclampsia, a qualitative study was conducted in 2012. The study aimed to reveal the experiences of pregnant women and maternity cases suffering from severe preeclampsia from the beginning of pregnancy until they arrived at Dr. Pirngadi City of Medan. Six pregnant and childbirth women with severe preeclampsia were selected as informants for this study.
The Sad Story of Mothers with Severe Preeclampsia
The results of the study revealed a heartbreaking story of mothers who experienced severe preeclampsia. They shared their complaints, responses to pregnancy and complaints, as well as the factors that led them to arrive at the hospital with a diagnosis of severe preeclampsia. The study highlighted the difficulties faced by these women in accessing quality health services, which ultimately contributed to the severity of their condition.
Key Findings from the Research
Difficulty in Early Detection
Many pregnant women do not realize that they are experiencing preeclampsia. They may not feel the distinctive symptoms or may not receive the right examination. This lack of awareness and knowledge about preeclampsia is a significant obstacle in the early detection and treatment of the condition.
Difficulties in Accessing Health Services
Some mothers who have been detected with preeclampsia do not receive the right medical treatment. Factors that contribute to this include:
- Lack of knowledge and access to information about the danger of pregnancy
- Limited access to health facilities
- Lack of trained medical personnel
Bureaucratic and Funds Constraints
Some mothers face difficulties in accessing health service operational assistance (BOK) due to bureaucratic constraints and lack of information. This results in their difficulties in financing treatment and treatment.
Main Factors Inhibiting the Prevention of Severe Preeclampsia
Based on the study's findings, several main factors inhibit the prevention of severe preeclampsia:
Lack of Awareness and Knowledge
Public knowledge about preeclampsia and danger signs of pregnancy is still low. This lack of awareness and knowledge contributes to the difficulties in early detection and treatment of the condition.
Limited Access to Services
Access to quality health services is still an obstacle, especially in remote areas. This limited access to services contributes to the severity of the condition.
Lack of Trained Medical Personnel
The number of medical personnel trained in handling preeclampsia is still limited. This lack of trained medical personnel contributes to the difficulties in accessing quality health services.
Difficulties in Accessing Funds
Bureaucratic constraints and lack of information are obstacles for pregnant women in accessing aid funds. This difficulty in accessing funds contributes to the difficulties in financing treatment and treatment.
Recommendations for Improving Preeclampsia in Medan City
Based on the study's findings, several recommendations are made to improve preeclampsia in Medan City:
Increased Early Detection
Increased public awareness and knowledge about preeclampsia and danger signs of pregnancy through educational and counseling programs.
Increasing Service Access
Increasing access to quality health services by building more health facilities in remote areas and increasing the number of trained medical personnel.
Increasing the Availability of Funds
Facilitating access and information about BOK for pregnant women, as well as strengthening an integrated referral system.
Conclusion
Preeclampsia is a serious problem that requires serious handling. Increasing awareness, access, and quality of health services is very important to reduce maternal and infant mortality due to preeclampsia in the city of Medan and throughout Indonesia.
Frequently Asked Questions (FAQs) about Severe Preeclampsia
Q: What is preeclampsia?
A: Preeclampsia is a life-threatening condition that affects pregnant women worldwide. It is characterized by high blood pressure, protein in urine, and swelling.
Q: What is severe preeclampsia?
A: Severe preeclampsia is a more severe form of preeclampsia that can develop if not treated promptly and properly. It poses a significant threat to both the mother and the fetus.
Q: What are the symptoms of preeclampsia?
A: The symptoms of preeclampsia include:
- High blood pressure
- Protein in urine
- Swelling
- Severe headaches
- Vision changes
- Nausea and vomiting
Q: How is preeclampsia diagnosed?
A: Preeclampsia is diagnosed through a combination of physical examination, laboratory tests, and medical history. The diagnosis is typically made by a healthcare provider.
Q: What are the risks of preeclampsia?
A: The risks of preeclampsia include:
- Maternal mortality
- Fetal mortality
- Premature birth
- Low birth weight
- Placental abruption
Q: How can preeclampsia be prevented?
A: Preeclampsia can be prevented by:
- Maintaining a healthy lifestyle
- Getting regular prenatal care
- Monitoring blood pressure and urine protein
- Avoiding excessive weight gain
- Getting enough rest and sleep
Q: What are the treatment options for preeclampsia?
A: The treatment options for preeclampsia include:
- Medications to lower blood pressure
- Bed rest
- Hospitalization
- Delivery of the baby
Q: Can preeclampsia be cured?
A: Preeclampsia can be cured with proper treatment and management. However, the condition can recur in future pregnancies.
Q: What is the prognosis for women with preeclampsia?
A: The prognosis for women with preeclampsia is generally good if treated promptly and properly. However, the condition can have serious consequences if left untreated.
Q: Can preeclampsia be prevented in future pregnancies?
A: Preeclampsia can be prevented in future pregnancies by:
- Maintaining a healthy lifestyle
- Getting regular prenatal care
- Monitoring blood pressure and urine protein
- Avoiding excessive weight gain
- Getting enough rest and sleep
Q: What are the long-term effects of preeclampsia?
A: The long-term effects of preeclampsia include:
- Increased risk of cardiovascular disease
- Increased risk of kidney disease
- Increased risk of stroke
- Increased risk of premature birth in future pregnancies
Q: Can preeclampsia be prevented in women with a history of the condition?
A: Preeclampsia can be prevented in women with a history of the condition by:
- Maintaining a healthy lifestyle
- Getting regular prenatal care
- Monitoring blood pressure and urine protein
- Avoiding excessive weight gain
- Getting enough rest and sleep
Q: What are the risk factors for preeclampsia?
A: The risk factors for preeclampsia include:
- Previous history of preeclampsia
- Family history of preeclampsia
- Multiple pregnancy
- Advanced maternal age
- Obesity
- Hypertension
- Diabetes
- Kidney disease
Q: Can preeclampsia be prevented in women with a family history of the condition?
A: Preeclampsia can be prevented in women with a family history of the condition by:
- Maintaining a healthy lifestyle
- Getting regular prenatal care
- Monitoring blood pressure and urine protein
- Avoiding excessive weight gain
- Getting enough rest and sleep
Q: What are the warning signs of preeclampsia?
A: The warning signs of preeclampsia include:
- Severe headaches
- Vision changes
- Nausea and vomiting
- Abdominal pain
- Severe swelling
Q: What should I do if I experience any of the warning signs of preeclampsia?
A: If you experience any of the warning signs of preeclampsia, you should:
- Contact your healthcare provider immediately
- Seek medical attention at the nearest hospital
- Follow the instructions of your healthcare provider
Q: Can preeclampsia be prevented in women with a history of hypertension?
A: Preeclampsia can be prevented in women with a history of hypertension by:
- Maintaining a healthy lifestyle
- Getting regular prenatal care
- Monitoring blood pressure and urine protein
- Avoiding excessive weight gain
- Getting enough rest and sleep
Q: What are the risk factors for preeclampsia in women with a history of hypertension?
A: The risk factors for preeclampsia in women with a history of hypertension include:
- Previous history of preeclampsia
- Family history of preeclampsia
- Multiple pregnancy
- Advanced maternal age
- Obesity
- Kidney disease
Q: Can preeclampsia be prevented in women with a history of kidney disease?
A: Preeclampsia can be prevented in women with a history of kidney disease by:
- Maintaining a healthy lifestyle
- Getting regular prenatal care
- Monitoring blood pressure and urine protein
- Avoiding excessive weight gain
- Getting enough rest and sleep
Q: What are the risk factors for preeclampsia in women with a history of kidney disease?
A: The risk factors for preeclampsia in women with a history of kidney disease include:
- Previous history of preeclampsia
- Family history of preeclampsia
- Multiple pregnancy
- Advanced maternal age
- Obesity
- Hypertension
Q: Can preeclampsia be prevented in women with a history of diabetes?
A: Preeclampsia can be prevented in women with a history of diabetes by:
- Maintaining a healthy lifestyle
- Getting regular prenatal care
- Monitoring blood pressure and urine protein
- Avoiding excessive weight gain
- Getting enough rest and sleep
Q: What are the risk factors for preeclampsia in women with a history of diabetes?
A: The risk factors for preeclampsia in women with a history of diabetes include:
- Previous history of preeclampsia
- Family history of preeclampsia
- Multiple pregnancy
- Advanced maternal age
- Obesity
- Hypertension
Q: Can preeclampsia be prevented in women with a history of obesity?
A: Preeclampsia can be prevented in women with a history of obesity by:
- Maintaining a healthy lifestyle
- Getting regular prenatal care
- Monitoring blood pressure and urine protein
- Avoiding excessive weight gain
- Getting enough rest and sleep
Q: What are the risk factors for preeclampsia in women with a history of obesity?
A: The risk factors for preeclampsia in women with a history of obesity include:
- Previous history of preeclampsia
- Family history of preeclampsia
- Multiple pregnancy
- Advanced maternal age
- Hypertension
- Kidney disease
Q: Can preeclampsia be prevented in women with a history of cardiovascular disease?
A: Preeclampsia can be prevented in women with a history of cardiovascular disease by:
- Maintaining a healthy lifestyle
- Getting regular prenatal care
- Monitoring blood pressure and urine protein
- Avoiding excessive weight gain
- Getting enough rest and sleep
Q: What are the risk factors for preeclampsia in women with a history of cardiovascular disease?
A: The risk factors for preeclampsia in women with a history of cardiovascular disease include:
- Previous history of preeclampsia
- Family history of preeclampsia
- Multiple pregnancy
- Advanced maternal age
- Obesity
- Hypertension
- Kidney disease
Q: Can preeclampsia be prevented in women with a history of stroke?
A: Preeclampsia can be prevented in women with a history of stroke by:
- Maintaining a healthy lifestyle
- Getting regular prenatal care
- Monitoring blood pressure and urine protein
- Avoiding excessive weight gain
- Getting enough rest and sleep
Q: What are the risk factors for preeclampsia in women with a history of stroke?
A: The risk factors for preeclampsia in women with a history of stroke include:
- Previous history of preeclampsia
- Family history of preeclampsia
- Multiple pregnancy
- Advanced maternal age
- Obesity
- Hypertension
- Kidney disease
Q: Can preeclampsia be prevented in women with a history of kidney disease and hypertension?
A: